Tag Archives: wide complex tachycardia

Update to: 78 yom CC: "Chest heaviness"

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Lots of interesting comments on this case. Here is the update. I opted to treat this patient as a presumed monomorphic ventricular tachycardia which is hemodynamically stable. I placed an 18 ga catheter in his left AC at a TKO rate. At approximately 1005 I administered 130mg (1.5mg/kg) of Lidocaine slow IV push which had […]

78 yom CC: "Chest heaviness"

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Here’s an interesting case submitted by Alex Kroeze. He is currently taking a sabbatical from blogging but was kind enough to share this interesting case with me. Here is the story in Alex’s own words. 78 year old male with a history of MI with cardiac arrest around 1975 as well as diabetes (metformin) and […]

44 year old male CC: Palpitations

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Here is an absolutely fascinating case submitted by G.W. Lyster (who credits the case to J.C. Neetz). It's a patient who presented with a wide complex tachycardia who ended up receiving the kitchen sink! Here are the basics. 44 YOM C/O "palpitations". Denies CP, SOB, N/V, dizziness, weakness. Pt in NAD. Meds include Coreg, et […]

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